Evidence map›Paper›PMID 25337166›Full record

ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2014

A comparative cost analysis study of lobectomy performed via video-assisted thoracic surgery versus thoracotomy in Turkey.

Levent Alpay, Tunc Lacin, Dilek Teker, Erdal Okur, Volkan Baysungur, Serda Kanbur, Aysun Kosif Misirlioglu, Hakan Sonmez, Irfan Yalcinkaya, Mithat Kiyak

Open access · goldAbstract read
In one paragraph

Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Short- and long-term outcomes of thoracoscopic pneumonectomy - single center experience.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Levent AlpayDepartment of Thoracic Surgery, Sureyyapasa Training and Research Hospital, Istanbul, Turkey.
Tunc LacinDepartment of Thoracic Surgery, Sureyyapasa Training and Research Hospital, Istanbul, Turkey.
Dilek TekerFaculty of Economics and Administrative Sciences, Okan University, Istanbul, Turkey.
Erdal OkurDepartment of Thoracic Surgery, Acibadem Hospital, Istanbul, Turkey.
Volkan BaysungurDepartment of Thoracic Surgery, Sureyyapasa Training and Research Hospital, Istanbul, Turkey.
Serda KanburDepartment of Thoracic Surgery, Sureyyapasa Training and Research Hospital, Istanbul, Turkey.
Aysun Kosif MisirliogluDepartment of Thoracic Surgery, Sureyyapasa Training and Research Hospital, Istanbul, Turkey.
Hakan SonmezDepartment of Thoracic Surgery, Sultanbeyli Hospital, Istanbul, Turkey.
Irfan YalcinkayaDepartment of Thoracic Surgery, Sureyyapasa Training and Research Hospital, Istanbul, Turkey.
Mithat KiyakFaculty of Economics and Administrative Sciences, Okan University, Istanbul, Turkey.
Okan University · TRAcıbadem University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCost analysis studies performed in western countries report that the overall cost of lobectomies performed via video-assisted thoracic surgery is similar to or less than those performed via thoracotomy. The situation may be different in a developing country.

aimWe evaluated the cost differences of these two surgical methods. MATERIAL AND

methodsWe retrospectively reviewed the hospital records of 81 patients who underwent lobectomy either via video-assisted thoracic surgery (n = 32) or via thoracotomy (n = 49). Patient characteristics, pathology, perioperative complications, additional surgical procedures, length of hospital and intensive care unit stay, and outcomes of both groups were recorded. Detailed cost data for medications, anesthesia, laboratory, surgical instruments, disposable instruments and surgery cost itself were also documented. Statistical analyses were performed to compare the groups.

resultsThe two groups were homogeneous in regard to age, sex, pathology and perioperative morbidity. The mean duration of hospitalization in the video-assisted thoracic surgery group was significantly shorter than that of the thoracotomy group (7.78 ±5.11 days vs. 10.65 ±6.57 days, p < 0.05). Overall final mean cost in the video-assisted thoracic surgery group was significantly higher than that of the thoracotomy group ($3970 ±1873 vs. $3083 ±1013, p = 0.002). This significant difference relies mostly on the cost of disposable surgical instruments, which were used much more in the video-assisted thoracic surgery group than the thoracotomy group ($2252 ±1856 vs. $427 ±47, p < 0.05).

conclusionsIn contrast to western countries, a video-assisted thoracic surgical lobectomy may cost more than a lobectomy via thoracotomy in a developing country. More expensive disposable surgical instruments and cheaper hospital stay charges lead to higher overall costs in video-assisted thoracic surgical lobectomy patients.

Indexed as

lobectomythoracotomyvideo-assisted thoracic surgery

Identifiers

PMID25337166
PMCPMC4198652
OpenAlexW2130599006

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.